SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2106 FINANCIAL INCENTIVE FOR NON-MEDICARE STATE EMPLOYEES RETIREMENT SYSTEM ANNUITANTS WHO OPT OUT OF THE STATE EMPLOYEES GROUP HEALTH PLAN
SECTION 2106.130 DEFINITIONS OF TERMS
Section 2106.130 Definitions of Terms
Unless the context otherwise requires, the following words and phrases as used in the Act shall have the following meanings for the purpose of implementing and administering the Opt Out Incentive:
"Act" means the State Employees Group Insurance Act [5 ILCS 375].
"Benefit Choice Period" means a designated time when members may change benefit coverage elections.
"CMS" means the Illinois Department of Central Management Services.
"Director" means the Director of CMS.
"Health Plan" means the health, dental and vision benefits offered by the program to eligible persons.
"HFS" means the Illinois Department of Healthcare and Family Services.
"Member" means an employee, annuitant, retired employee or survivor, as defined in the Act.
"Opt Out/In Qualifying Change in Status" means an event that effects eligibility for Health Plan coverage, including but not limited to the following: Member becomes eligible for non-State administered health benefits coverage; marriage; loss or gain of Medicare for any reason; coordination of spouse's open enrollment period; spouse gains or loses non-State administered health benefits.
"Opt Out Incentive" means the State Employees Retirement System retiree/annuitant insurance opt out incentive authorized by Section 8(d-5) of the Act, which provides a financial incentive for each State Employees Retirement System retiree/annuitant who is not eligible for benefits under the federal Medicare health insurance program who elects not to participate in the Health Plan on or after January 1, 2006 under Section 8(d-5) of the Act.
"Program" means the group life insurance, health and other benefits designed and/or contracted for by CMS and/or HFS that are provided under the Act.
"SERS" means the State Employees Retirement System.
"SERS Annuitant" means a retiree or annuitant who is receiving a pension from the State Employees Retirement System.
"Special Enrollment Period" means a designated time period defined by the Director of CMS for certain Members to change specific benefit coverage elections when special circumstances occur that affect only those Members.